COMPARATIVE STUDY OF NORMAL AND ABNORMAL CTG IN TERM PREGNANT WOMEN IN LABOUR AND ITS PERINATAL OUTCOMES
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 44
Abstract
BACKGROUND EFM was introduced into Obstetric practice during late 1960 on the premise that it would facilitate early detection of abnormal foetal heart patterns thought to be associated with hypoxia thus allowing early intervention to prevent foetal neurological damage or death. 1 In this study, we aim to evaluate the effect of CTG on perinatal outcome in low risk and high-risk population and determine the cost-effective reliable method of foetal monitoring that is applicable to low risk and high-risk population. 2 MATERIALS AND METHODS A prospective randomized study conducted on 200 pregnant women in labour who were admitted to labour room in the department of OBGY, Niloufer Hospital. The Duration of study is one year. These women were divided into two groups, groupA & group-B. RESULTS The demographic features parity and gestational age in both the groups were comparable. The mean age group of the patient is 23 years and mean gestational age is 37.77 weeks. In this study, 125 (62.5%) belong to high risk group and 75(37.5%) belong to low risk group. In the present study normal CTG was seen in 59.5%, suspicious CTG in 11% and pathological CTG in 29.5% in low risk group and in high risk group normal CTG was seen in 51.2%, suspicious CTG in 9.6% and pathological CTG in 39.2%. Incidence of MSL was more in women with abnormal CTG finding in both low and high risk women. 3 NICU admissions were 55.9% in patient with abnormal CTG as compare to 1.7% in normal CTG patterns. 4 The sensitivity, specificity, PPV and NPV of CTG in Prediction of low APGAR score at 5 minutes was 93.75%, 80.13%, 50.84% and 98.31% respectively. CONCULSION Continuous CTG monitoring identifies conditions causing foetal compromise at an early stage of labour so that timely intervention can be taken. 5 Present study had shown that the abnormal CTG finding were associated with significantly increased incidence of LSCS, low mean APGAR scores, increased NICU admissions.
Authors and Affiliations
Indiramani Y. , Spoorthy Spoorthy, Aruna Kumari K.
Keywords
Related Articles
- EP ID EP604461
- DOI 10.18410/jebmh/2018/630
- Views 95
- Downloads 0
A COMPARATIVE STUDY OF RUBBER BAND LIGATION AND SCLEROTHERAPY IN PATIENTS WITH SECOND DEGREE HAEMORRHOIDS
BACKGROUND Haemorrhoids are an extremely common surgical condition of anorectal area. With the available non-surgical approaches for haemorrhoids like infrared coagulation, bipolar diathermy, direct current therapy, cryo...
UNILATERAL ISOLATED BIFID URETER: A CASE REPORT
Double ureters are classified either as bifid or duplex. 1 A bifid ureter is commonly found in association with other congenital anomalies and defects. The present case report describes a rare case of isolated bifid uret...
EVALUATION OF SERUM CHOLESTEROL, AMINO TRANSFERASES, GAMMA GLUTAMYL TRANSFERASE AND CREATIVE KINASE IN RED YEAST RICE (MONACUS PURPUREUSFERMENTED RICE) FED RATS
BACKGROUND AND AIMS The purpose of this study was to determine the efficacy of red yeast rice (Monascus purpureus-fermented rice) in lowering cholesterol in the blood. At the same time, alanine aminotranferase (ALT), asp...
IDENTIFYING THE UNMET NEED OF CONTRACEPTION AMONG HIV SEROPOSITIVE WOMEN ATTENDING ANTIRETROVIRAL TREATMENT (ART) CLINIC IN TERTIARY CARE CENTRE
BACKGROUND Contraceptive use among HIV positive women plays a crucial role in meeting their reproductive health needs. This is a study with the primary aim to estimate the magnitude of unmet need for family planning amon...
COMPARATIVE STUDY OF ARTHROSCOPIC SINGLE BUNDLE ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION AND NON-ANATOMICAL DOUBLE BUNDLE WITH SINGLE TIBIAL TUNNEL ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION WITH SEMITENDINOSUS ± GRACILIS AUTOGRAFTS USING LAXOMETRY
BACKGROUND The knee joint is the most commonly injured of all joints and the ACL is the most commonly injured ligament. Arthroscopic reconstruction of ACL has become gold standard in treating these injuries. AIM 1. To co...